Optometrist
Dr. JAY BLACK OD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1629113261 · enumerated 2007-02-21 · record updated 2007-07-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 5316 N SECOND STREET, LOVES PARK, IL, 61111-5009 (815) 877-6551 Fax (815) 877-4821 Google Maps Apple Maps OpenStreetMap
- Practice location 5316 N SECOND STREET, LOVES PARK, IL, 61111-5009 (815) 877-6551 Fax (815) 877-4821 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary · License 466709 IL
In this directory
Locations and evidence
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Practice location
LOVES PARK, IL, 611115009
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.